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An individual should inform their doctor about the medicines they are taking as cyanocobalamin also interacts with certain prescription and OTC medications such as amoxicillin, erythromycin, methotrexate, and pyrimethamine
They're not purging

Symptoms of vitamin B12 and folate deficiency include extreme tiredness, shortness of breath, palpitations and muscle weakness

Inyectable Dioxaflex B12 3 ampollas

J Biol Chem 242:12741279

In the other enzymatic reaction, methylcobalamin supports the methionine synthase reaction, which is essential for normal metabolism of folate